How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $97.72 Median $147.91 Typical High $436.52 | Facility | None | $97.72 | $147.91 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $173.78 | Professional | None | $89.13 | $89.13 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $446.68 | Facility | None | $173.78 | $173.78 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $169.82 Typical High $398.11 | Professional | None | $93.33 | $169.82 | $398.11 |
CDPHP Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $446.68 Typical High $1,318.26 | Facility | None | $199.53 | $446.68 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $223.87 Typical High $630.96 | Professional | None | $131.83 | $223.87 | $630.96 |
Emblem Health Setting Facility Modifier None Typical Low $79.43 Median $173.78 Typical High $389.05 | Facility | None | $79.43 | $173.78 | $389.05 |
Emblem Health Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $251.19 | Professional | None | $102.33 | $147.91 | $251.19 |
Excellus BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Excellus BCBS Setting Professional Modifier None Typical Low $97.72 Median $165.96 Typical High $199.53 | Professional | None | $97.72 | $165.96 | $199.53 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $223.87 Typical High $346.74 | Facility | None | $13.80 | $223.87 | $346.74 |
MVP Health Care Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $354.81 | Professional | None | $134.90 | $151.36 | $354.81 |
United Setting Facility Modifier None Typical Low $154.88 Median $173.78 Typical High $218.78 | Facility | None | $154.88 | $173.78 | $218.78 |
United Setting Professional Modifier None Typical Low $77.62 Median $104.71 Typical High $302.00 | Professional | None | $77.62 | $104.71 | $302.00 |
Univera Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $457.09 | Facility | None | $75.86 | $75.86 | $457.09 |
Univera Setting Professional Modifier None Typical Low $91.20 Median $165.96 Typical High $199.53 | Professional | None | $91.20 | $165.96 | $199.53 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $44.67 Typical High $79.43 | Professional | 52 · Reduced service | $44.67 | $44.67 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $31.62 | Professional | 53 · Discontinued | $18.20 | $18.20 | $31.62 |
Where New York sits
The same service costs 3.7 times more in Kansas than in Illinois. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New York· 42nd of 51
$151
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.